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Studies using liraglutide and exenatide have demonstrated marked reductions in A plaque deposition, tau hyperphosphorylation, and microglial activation, along with cognitive improvements in AD animal models [268, 270]

Its common to hit a plateau after 6 months on semaglutide

Serious side effects requiring immediate attention While rare, some side effects demand immediate medical attention

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I think these added requirements more than offset any savings from removing the pen